Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07899 | Date 13/09/2024 |
| Token No | SM/25-26/12422 27/12/2025 | Serial | 042 |
| Patient Name | Mrs. SANGITA SAHA | Contact No | 9051487998 |
| Address | 30/71 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/89 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||